The impact of resilience on psychological outcomes in women after preeclampsia: an observational cohort study

Abstract

BackgroundPreeclampsia is a frequent obstetric complication which affects the mother`s and the fetus’s health and can be life threatening. It also has an impact on psychological outcomes. There may be protective variables such as resilience shielding against psychosocial distress in women experiencing these pregnancy complications. The aim of this study was to examine differences in resilience in terms of quality of life, depression and post-traumatic stress symptoms in women after preeclampsia.MethodsFour international validated questionnaires were used to measure the psychological outcomes (Medical Outcome Study Short-Form SF12, Edinburgh Postnatal Depression Scale EPDS, Resilience Scale RS13, Impact of Event Scale IES-R). Statistical analyses were performed using independent-samples t-test and chi-square test.Results67 women with previous preeclampsia returned the questionnaires. Women with high resilience showed significantly less depression (p = 0.001) and better mental quality of life (p = 0.002) compared to women with low resilience. No group differences were found on the medical and socio-demographic characteristics.ConclusionsResilience has an important impact on the psychological outcomes in women after preeclampsia. A screening for resilience, depression and quality of life may be appropriate to identify these women.

Effectiveness of psycho-educational counseling on anxiety in preeclampsia

“…27 This study endorsed and followed the Consolidated relaxation training and positive emotions. 30,31 Results Table 1 shows the frequency distribution and percentages of demographic characteristics in the intervention and control groups: the two groups were similar in terms of demographic characteristics that may influence maternal anxiety during pregnancy, with no significant differences between the groups.…”

Influence of depression, catastrophizing, anxiety, and resilience on postoperative pain at the first day after otolaryngological surgery

“…Finally, the German version of the validated 13-item resilience scale (RS-13) was used to measure resilience. [ 14 , 15 ] RS-13 scores range from 13 (low resilience) to 91 (high resilience). Patients with a RS-13 score less than 72 are defined as patients with low resilience and patients with a score of 72 or more have a high resilience.…”

Preeclampsia and the brain: neural control of cardiovascular changes during pregnancy and neurological outcomes of preeclampsia

“…One clinical study observed that the risk for postpartum depression was associated not to the severity of PE, but rather to its consequences (e.g., perinatal death), even after adjusting for the confounding variables of age, ethnicity, and educational level of the mother (250). While resilience shielding against psychological stress (251) and psychotherapeutic treatment (252) can attenuate the duration of the episode, a previous history of depression coupled with experiencing a preeclamptic index pregnancy can significantly contribute to the onset of PTSD and exacerbate the anxiety of planning future pregnancies (39). The deleterious effects of prenatal maternal psychosocial stressors on fetal development are well documented, where increased incidences of maternal depression (34–36) and anxiety (31–33) are significantly correlated to low fetal birth weight, IUGR, and premature birth (32–36, 38).…”